Global curricular homogenization is purported to have a multitude of benefits. However, homogenization, as typically practiced has been found to promote largely Western ideals. The purpose of this study was to explore the issue of representation in the development of global oncology curricula. This systematic review of global oncology curricula involved a comprehensive search strategy of eight databases from inception to December 2018. Where available, both controlled vocabulary terms and text words were used. Two investigators independently reviewed the publications for eligibility. Full global/core oncology curricular documents were included. Data analysis included exploration of representation across a number of axes of power including sex and geographic sector, consistent with a neocolonial approach. 32,835 documents were identified in the search and 17 remained following application of the inclusion/exclusion criteria. Eleven of 17 papers were published from 2010 to 2018 and 13 curricula originated from Europe. The 17 curricula had 300 authors; 207 were male and most were from Europe (n = 190; 64%) or North America (n = 73; 24%). The most common curricular purposes were promoting quality patient care (n = 11), harmonization of training standards (n = 10), and facilitating physician mobility (n = 3). The methods for creation of these curricula were most commonly a committee or task force (n = 10). Over time there was an increase in the proportion of female authors and the number of countries represented in the authorship. Existing global oncology curricula are heavily influenced by Western male authors and as a result may not incorporate relevant socio-cultural perspectives impacting care in diverse geographic settings.

中文翻译：

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对全球肿瘤学课程开发中的代表性和新殖民主义影响的批判性回顾

据称，全球课程同质化有很多好处。然而，人们发现，通常实行的同质化在很大程度上促进了西方的理想。本研究的目的是探讨全球肿瘤学课程开发中的代表性问题。这项对全球肿瘤学课程的系统回顾涉及从成立到 2018 年 12 月的八个数据库的综合搜索策略。在可用的情况下，使用了受控词汇术语和文本单词。两名研究人员独立审查了出版物的资格。包括完整的全球/核心肿瘤学课程文件。数据分析包括探索多个权力轴的代表性，包括性别和地理部门，这与新殖民主义方法一致。搜索中识别出 32,835 份文件，应用纳入/排除标准后仍保留 17 份文件。2010年至2018年发表的17篇论文中有11篇，13门课程源自欧洲。17门课程有300位作者；207 人为男性，大多数来自欧洲（n = 190；64%）或北美（n = 73；24%）。最常见的课程目的是促进优质患者护理（n = 11）、统一培训标准（n = 10）和促进医生流动（n = 3）。创建这些课程的方法最常见的是委员会或工作组（n = 10）。随着时间的推移，女性作者的比例和作者所代表的国家数量都有所增加。现有的全球肿瘤学课程深受西方男性作者的影响，因此可能没有纳入影响不同地理环境中护理的相关社会文化观点。